Lake Loveland Dermatology Pc in Loveland - Mohs-micrographic Surgery
Lake Loveland Dermatology Pc - NPI 1679646582
Lake Loveland Dermatology Pc is a Mohs-micrographic Surgery in Loveland, Colorado. Lake Loveland Dermatology Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Lake Loveland Dermatology Pc is 1679646582. The last update date is 2020-11-06.
Lake Loveland Dermatology Pc's current location address is 1708 Boise Ave, Loveland, Colorado. You can contact this provider via phone number 9706673116 and fax number 9706690159. The mailing address for Lake Loveland Dermatology Pc is 1708 Boise Ave, Loveland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Loveland Dermatology Pc |
|---|---|
| Address | 1708 Boise Ave, Loveland, Colorado |
| Phone Number | 9706673116 |
| Fax Number | 9706690159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mott John Kevin |
| Credentials | MD |
| Telephone Number | 3035697700 |
NPI Number Detail
| NPI Number | 1679646582 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-11-06 |
Provider Mailing Address Detail
| Address | 1708 Boise Ave |
|---|---|
| City | Loveland |
| State | Colorado (CO) |
| Post Code | 805384204 |
| Phone Number | 9706673116 |
| Fax Number | 9706690159 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4014833 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lake Loveland Dermatology Pc by the Centers for Medicare & Medicaid Services?
The Lake Loveland Dermatology Pc has been issued the NPI (National Provider Identifier) 1679646582 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lake Loveland Dermatology Pc's physical address?
The Lake Loveland Dermatology Pc is physically located at 1708 Boise Ave, in the city of Loveland, CO, with the postal code 805384204.
What is the area of specialization for Lake Loveland Dermatology Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake Loveland Dermatology Pc is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Nd0101X.
When was the Lake Loveland Dermatology Pc's 1679646582 issued?
The Lake Loveland Dermatology Pc's 1679646582 was issued on 2006-11-16.
As of what date were the details pertaining to Lake Loveland Dermatology Pc last refreshed?
The information related to the Lake Loveland Dermatology Pc, including its address, specialty, and other relevant details, was last updated on 2020-11-06.
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